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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CORINNE NICOLE BLACKBURN MD
NPI 1215590880
Pediatrics - Adolescent Medicine in Indianapolis, IN

Active since April 18, 2019
1002 WISHARD BLVD STE 1100, INDIANAPOLIS, IN 46202(317) 274-8812 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2026, Jun 25, 2023, Apr 18, 2019 (3 updates tracked since 2019).

About Dr. Corinne Nicole Blackburn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CORINNE NICOLE BLACKBURN MD (NPI 1215590880) is an individual adolescent medicine provider in Indianapolis, Indiana, licensed in Indiana (01099768A) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1215590880
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. CORINNE NICOLE BLACKBURNCredential: MD
Location Address1002 WISHARD BLVD STE 1100Indianapolis, IN 46202-4164
Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435
Phone(317) 274-8812
Sole ProprietorYes
Enumeration DateApril 18, 2019
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1215590880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IN · 01099768A
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1002 WISHARD BLVD STE 1100, Indianapolis, IN 46202
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS ANN MCENTIRE MS, CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-2801
NATALIE D MICHAELS CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-3966
ALEXANDRA JACQUELINE BROWN PA-C
Physician Assistant
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 274-8812
ALYCE OVERTON SWISHER BSN
Registered Nurse (College Health)
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 250-1747
DR. NOMI KATE SHERWIN M.D.
Pediatrics (Adolescent Medicine)
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 274-8812
ADRIANNA F BLACK CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-3966
MS. CAMILLE OLIVIA ALLISON CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-3966
LAURA HOOPER MS, RD, CD
Dietitian, Registered
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 274-8812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corinne Blackburn's NPI number?

The NPI number for Corinne Blackburn is 1215590880. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Corinne Blackburn located?

Corinne Blackburn practices at 1002 Wishard Blvd Ste 1100, Indianapolis, IN 46202. The listed phone number is (317) 274-8812.

What is Corinne Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Corinne Blackburn was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.